Objective To explore the latent profile types of capability-opportunity-motivation-behavior in stroke patients and analyze the influencing factors of different latent profiles.Methods From January to October 2023,totally 596 stroke patients from the Neurology Department of five Class Ⅲ Grade A hospitals in Henan Province were selected by stratified random sampling.The patients were surveyed using a general information questionnaire,the Stroke Prevention Knowledge Questionnaire(SPKQ),the Social Support Rating Scale(SSRS),the WHO's Quality of Life Questionnaire-Brief Version(WHOQOL-BREF),the Short Form Health Belief Model Scale(SF-HBMS),and the Health Promoting Lifestyle Profile Ⅱ(HPLP Ⅱ).Latent profile analysis was used to classify the capability-opportunity-motivation-behavior characteristics of stroke patients,and multiple logistic regression was conducted to explore the influencing factors of different latent profiles.Results Three latent profiles of capability-opportunity-motivation-behavior in stroke patients were identified,including low capability-opportunity-motivation-behavior with high health beliefs(32.4%,193/596),moderate capability-opportunity-motivation-behavior with insufficient health beliefs(47.5%,283/596),and high capability-opportunity-motivation-behavior with lack of social support(20.1%,120/596).Multiple logistic regression analysis showed that educational level,smoking history,family history,body mass index,and Charlson Comorbidity Index score were influencing factors of different latent profiles(P<0.05).Conclusions Stroke patients exhibit distinct classifications of capability-opportunity-motivation-behavior.Targeted interventions should be conducted based on the characteristics of each category to improve health behavior management outcomes in patients.